Organization Active NPI

JG Pepperd DC PLLC

  • Chiropractor
  • Grand Coulee, WA
National Provider Identifier
1295909448
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 00034872 Issued in WA
Legal business name
JG PEPPERD DC PLLC
Practice address
400 Burdin Blvd
Grand Coulee, WA 99133
Phone
(509) 633-0861
Fax
(509) 633-0865
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason G Pepperd, D.C.
Title
Chiropractor
Phone
(509) 633-0861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 00034872 WA Primary

Addresses

Primary practice location

400 Burdin Blvd
Grand Coulee, WA 99133

Mailing address

400 Burdin Blvd
Grand Coulee, WA 99133
Phone (509) 633-0861

Other names 1

  • Columbia Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

400 Burdin Blvd
Grand Coulee, WA 99133
Phone (509) 633-0861

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1295909448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BURDIN BLVD",
            "city": "GRAND COULEE",
            "state": "WA",
            "postal_code": "99133",
            "telephone_number": "509-633-0861",
            "fax_number": "509-633-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BURDIN BLVD",
            "city": "GRAND COULEE",
            "state": "WA",
            "postal_code": "99133",
            "telephone_number": "509-633-0861",
            "fax_number": "509-633-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JG PEPPERD DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "PEPPERD",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "509-633-0861",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 00034872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Coulee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.